Individual provider Active NPI

Michael B Digiacomo, M.D.

  • Anesthesiology Physician
  • Hillsborough, NJ
National Provider Identifier
1821389958
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA09441500 Issued in NJ
Practice address
511 Courtyard Dr
Hillsborough, NJ 08844-4255
Phone
(908) 218-9222
Fax
(908) 218-9818
NPI assigned
Apr 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA09441500 NJ Primary

Addresses

Primary practice location

511 Courtyard Dr
Hillsborough, NJ 08844-4255

Mailing address

350 Engle St
Englewood, NJ 07631-1808
Phone (201) 894-3238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140714001963 NJ Practitioner - Anesthesiology 1254556939 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastro-Surgi Center of New JerseyGroup PAC ID 9234125840, 9 clinicians
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians
Northern Valley Anesthesiology PAGroup PAC ID 0749194868, 85 clinicians

Practice addresses (Care Compare)

1132 Spruce Dr
Mountainside, NJ 07092-2217
Phone (908) 317-0071

270 Sylvan Ave
Suite 100
Englewood Cliffs, NJ 07632-2523
Phone (201) 408-5505

350 Engle St
Englewood, NJ 07631-1808
Phone (201) 871-6073

Hospital & facility affiliations

  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Valley Anesthesiology, P.a. Anesthesiology CurrentSince Jul 1, 2014 Accepting new patients
Morris Avenue Endoscopy LLC Anesthesiology CurrentSince Jan 1, 2016 Accepting new patients
Allied Digestive Health, LLC Anesthesiology CurrentSince May 21, 2021 Accepting new patients
Digestive Healthcare Center PA CurrentSince Apr 1, 2017 Accepting new patients
Gastro-Surgi Center of New Jersey Anesthesiology CurrentSince Mar 1, 2016 Accepting new patients
Morris Avenue Endoscopy LLC Past Accepting new patients
Atlantic Coast Gastroenterology Associates Past Accepting new patients

Locations

420 Grand Ave
Ste 101
Englewood, NJ 07631
Phone (201) 569-7044

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

270 Sylvan Ave
Ste 100
Englewood Cliffs, NJ 07632
Phone (201) 408-5505

511 Courtyard Dr
Hillsborough, NJ 08844
Phone (908) 218-1616

1132 Spruce Dr
Mountainside, NJ 07092
Phone (908) 317-0071

200 Sheffield St
Mountainside, NJ 07092
Phone (908) 241-8900

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1821389958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311808",
            "telephone_number": "201-894-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 COURTYARD DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444255",
            "telephone_number": "908-218-9222",
            "fax_number": "908-218-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGIACOMO",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-24",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA09441500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

Verify at the official NPI Registry.